Pyogenic vertebral osteomyelitis with subligamentous spread

Case contributed by Dr Brendon Friesen

Presentation

subacute back pain

Patient Data

Age: 45
Gender: Male

T9 and T10 vertebral body enhancement. Anterior paraspinal enhancing phlegmon with subligamentous spread. Possibly subtle T9/10 disc T2 hyperintensity. No disc enhancement or loss of height.

No cord compression or cord signal abnormality.

Case Discussion

T9 and T10 vertebral body osteomyelitis with anterior subligamentous spread. No definite evidence of discitis. T8 and T11 vertebral bodies at risk of involvement.

The findings are very suspicious for tuberculous osteomyelitis.

In this case, however, multiple blood cultures were positive for methicillin resistant staphylococcus aureus (MRSA).

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Case information

rID: 28935
Case created: 23rd Apr 2014
Last edited: 7th Oct 2015
System: Spine
Inclusion in quiz mode: Included

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